|

Kyphosis
Kyphosis is a condition which normally affects the
thoracic spinal region.
This mid back region normally demonstrates a kyphotic curvature in typical anatomy. However, in a hyper-kyphotic condition, this curvature is exaggerated and can create a noticeable physical deformity of the middle back. This spinal curvature often coexists with other curvature related conditions such as
scoliosis
or
lordosis.
* Kyphotic Curvature Treatment
Spinal Hyper-Kyphosis
Most patients have a mild to moderate form of this condition. Some patients are not even aware of their abnormal curvature, since it produces no pain and little physical change. Many patients simply feel they have bad posture when actually they have an exaggerated thoracic kyphotic curvature. Other patients are aware of the condition due to the unusual profile it often creates in their spinal anatomy. Patients with moderate to severe forms of kyphotic curvature will often show a protrusion of the middle back, forming a large mound or lump. This condition has been referred to by many less than flattering names in past medical literature including Hunchback, Roundback, or Humpback.
Kyphosis Condition
The overwhelming majority of patients have minor forms of this condition. Mild to moderate conditions are usually symptom free, although they are often blamed for
idiopathic back pain.
Kyphotic curves, like many innocent
spinal abnormalities,
are often the target of blame for unrelated back pain. Most chronic cases of severe back pain are coincidental to any mild abnormal kyphotic curvature. In these cases where pain is present, the true cause is likely to be a combination of
psychological back pain
and/or diagnostic
nocebo
effect.
Severely exaggerated kyphotic curves are rare, can but be a big problem for the patient. These conditions can be painful and produce many other health concerns. Some advanced kyphotic curves can actually become lethal if allowed to progress. In these cases, treatment is appropriate and advised.
Causes of Kyphosis
The condition can come from a variety of different causes:
* Congenital conditions
can make a person prone to developing hyper-kyphotic curves as they grow.
* Osteoarthritis
can contribute to the condition by changing normal spinal anatomy.
* Osteoporosis
is a prime contributor to kyphotic development in elderly patients.
* Spinal Injury
can create a hyper-kyphotic condition.
* Spinal Fusion Surgery
can create tremendous pressure in the spine influencing vertebral levels surrounding the fusion site. This can create an increased kyphotic curve in the spine.
* Poor posture
is a contributor to certain forms of kyphotic curvature.
Recommendation on Kyphosis
The majority of you reading this have nothing to worry about. Most kyphotic curves are harmless, even if they are visually abnormal. Pain and other symptoms are uncommon with mild to moderate forms of kyphotic curvature. If you have severe pain with a mild curve, there is a good chance that your pain has been
misdiagnosed.
Make sure to consider this possibility before undergoing any drastic treatment for your kyphotic curvature. Patients with severe kyphotic curves might require conservative or invasive treatment. The most common modalities are
physical therapy,
drugs,
bracing
and
surgery.
Make sure to discuss all the
treatment options
with your doctor before deciding on a plan of action.
Kyphosis to Back Pain Home page
10/12/07 Revised 4/21/08

|